Individual
ANN MARIE RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC, RLC
Contact information
Practice address
12621 HEDGETREE CT, POWAY, CA 92064-6432
(858) 513-1327
(858) 513-1327
Mailing address
12621 HEDGETREE CT, POWAY, CA 92064-6432
(858) 513-1327
(858) 513-1327
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
05/17/2007
Last updated
04/30/2011
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